Conflict of Interest Questionnaire

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PMI Member and Non-Member Volunteers and Employees

A conflict of interest is a situation that arises when a project management practitioner, PMI volunteer or employee is faced with making a decision of doing some act that will benefit the practitioner or another person or organization to which the practitioner, volunteer or employee owes a duty of loyalty and at the same time will harm another person or organization to which the practitioner owes a similar duty of loyalty. The only way practitioners, volunteers and employees can resolve conflicting duties is to disclose the conflict to those affected and allow them to make the decision about how the practitioner, volunteer or employee should proceed.

The PMI Columbus, GA Chapter By-Laws requires that this questionnaire be completed accurately on an annual basis. Volunteers should return completed questionnaires to the attention of the VP of Governance; The questionnaire should be updated during the year if circumstances change substantially. PMI member and non- member volunteers and employees are expected to be aware of all corporate, personal, and family business interests and relationships that may involve or relate to PMI in any way. PMI member and non-member volunteers and employees must openly and accurately reveal these interests and relationships to PMI in this questionnaire; and must comply with all PMI policies and requirements concerning ethics, conflicts of interest, and related matters.

If you are uncertain whether particular business interests or relationships involve PMI, please contact your VP of Governance or PMI’s General Counsel, as appropriate, to review the matter. Upon request, PMI can provide a list of companies, organizations, and individuals with whom the Institute has, or is considering, a business relationship.

Thank you for your cooperation in providing accurate responses to the following questions. ALL INFORMATION PROVIDED BY YOU ON THIS FORM WILL BE TREATED AS CONFIDENTIAL BY PMI AND PMI Columbus, GA Chapter AND WILL NOT BE DISCLOSED OR USED IN ANY MANNER OTHER THAN THE CONFLICT OF INTEREST PROCESS, if one

should arise.

If you have already completed a COI questionnaire during the current calendar year, you need not submit another form, unless your answers to the questions have changed. If you have already completed a COI questionnaire and your answers have not changed, then please complete the Information Release located below.

INFORMATION RELEASE

I certify that I have submitted a COI questionnaire earlier this year pursuant to participation in the PMI Columbus, GA Chapter, and I hereby authorize the PMI Columbus, GA Chapter to review my previously filed COI questionnaire pursuant to participation in the PMI Columbus, GA Chapter.

If filling out a COI questionnaire for the first time this year, please continue.
In responding to these questions, please note that a “yes” answer does not necessarily imply that the relationship or transaction was or would be inappropriate.

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8. Note: The following question 8 should be answered only by members of the Board of Directors (or as part of the nominations process by individuals seeking nomination for election to the Board) and individuals appointed to Board-appointed committees (including Ethics Review, Ethics Appeal, Certification Governance Council and Nominating Committee):

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